Individual
MRS. NORINE R COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
369 STRINGER ALY, MOUNT PLEASANT, SC 29464-8157
(843) 884-7088
Mailing address
369 STRINGER ALY, MOUNT PLEASANT, SC 29464-8157
(843) 884-7088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000018
SC
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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